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The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results.
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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. As a member of the Network Development leadership team, the Manager of Network Operations will participate in the successful implementation of provider data management tools at Texicare.
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Firewall design, configuration, network segmentation and implementation experience, such as Cisco ASA, CheckPoint, Fortinet, etc. Firewall design, configuration, network segmentation and implementation experience, such as Cisco ASA, CheckPoint, Fortinet, etc.
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Partner with and collaborate across functions on analytics and strategic initiatives, including, but not limited to, Underwriting, Actuarial, Reinsurance, Claims, and Operations. Experience with and exposure to various operational disciplines (underwriting, claims, IT, etc.
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Respond/report to guest claims of property damage relating to guest parking/garage. Fire Life Safety Director’s Certificate of Fitness issued by the Fire Department of New York. Communicate all issues to shift Security Supervisor and Director of Security in a timely manner.
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Senior-level experience maintaining physical and virtual systems resources, including the configuration of systems supporting Microsoft AD environments, VMware, SAN switches, DELL SAN devices, endpoint protection (Carbon Black, Trend Micro), HP host equipment, and Veritas backup devices.
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Assist in the design of functional components related to ERP during the presales as experts on capabilities and configuration of Microsoft Dynamics 365 F&SCM. With purpose-built 3PL Billing Automation and 3PL WMS solutions for Microsoft Dynamics 365 Finance and Supply Chain®, Avantiico serves the needs of next generation enterprise fulfillment and supply chain organizations.
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Medical claims, Medicaid and HEOR database search. Observational data, MarketScan, Optum, Market Clarity, EMC- Claims databases. Open to remote for experienced candidates with Medical Claims and EMR experience.
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Set up and Configuration of Loan IQ (functional) and/or TDT. Required / Must have skills: Loan IQ Data Model, SDK, APIs, Batch Jobs Finastra TDT knowledge. Set up and Configuration of Loan IQ (functional) and/or TDT.
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Carry out all Infrastructure storage related configuration activities including storage and hosts zoning, storage provisioning, copy services and masking, disaster recovery configuration and replication for the different SAN storage technologies and platforms to provide the bank applications with the required storage with the maximum performance.
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Develop and maintain Infrastructure as Code (IaC) using tools such as Terraform to automate provisioning and configuration. The successful candidate will have a strong background in startup environments, proficiency in Terraform and Infrastructure as Code (IaC), as well as expertise across multiple cloud platforms including AWS, Azure, and GCP. Additionally, proficiency in Python is required.
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The VP of Engineering will develop & execute annual maintenance budgets, manage and supervise engineering projects, budgets, marine hull claims, and support staff. TWIC required as well as a valid passport, Merchant Mariner credential as a licensed engineer is preferred, PMP certification is preferred as well.
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Within BPC, the Platform DevOps team are accountable for the platforms at Pfizer that allow the creation, configuration, launch, and support of all externally facing digital (web, mobile, omni-channel, & device) products, services, and experiences, servicing all external customer types at Pfizer.
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Advanced knowledge of Microsoft technologies including SQL, SQL Reporting Services, SharePoint, Intune, Configuration Manager or Operations Manager. Knowledge of using Microsoft Configuration Manger, Intune, Microsoft Deployment Toolkit or Ninite a plus.
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Utilize Infrastructure as Code (IaC) tools such as Terraform to automate the provisioning and configuration of infrastructure components, Maintain version-controlled IaC scripts for consistency and scalability.
ExpandApply NowActive JobUpdated 13 days ago
claims configuration jobs Company: Metroplus Health Plan in Bronx, NY
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